{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T07:05:35Z","timestamp":1743836735919},"reference-count":9,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2008,1,16]],"date-time":"2008-01-16T00:00:00Z","timestamp":1200441600000},"content-version":"unspecified","delay-in-days":15,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2008,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215106005317_sec1\"><jats:title>Objective:<\/jats:title><jats:p>Tolosa\u2013Hunt syndrome is a rare condition of painful ophthalmoplegia combined with ipsilateral ocular motor nerve palsies, caused by non-specific granulomatous inflammation in the cavernous sinus, superior orbital fissure or orbit. A case of Tolosa\u2013Hunt syndrome misdiagnosed as sinusitis orbital complication is reported.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215106005317_sec2\"><jats:title>Case report:<\/jats:title><jats:p>A patient suffering from left periorbital pain, upper eyelid oedema and ptosis, and horizontal diplopia, diagnosed as sinusitis orbital complication, was referred to our department. Clinical evaluation revealed only a left VIth nerve paresis. Haematological studies, cerebrospinal fluid tests and computed tomography scanning were negative. A magnetic resonance imaging (MRI) scan showed enhancement of the left cavernous sinus. Corticosteroid therapy was commenced, and within three days all symptoms disappeared. A diagnosis of Tolosa\u2013Hunt syndrome was made. Follow-up MRI studies were normal.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215106005317_sec3\"><jats:title>Conclusion:<\/jats:title><jats:p>Tolosa\u2013Hunt syndrome, although rare, is a nosological entity that otolaryngologists must bear in mind. Magnetic resonance imaging studies are essential in the diagnosis and follow up of these patients, in order to avoid a mistaken Tolosa\u2013Hunt syndrome diagnosis.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215106005317","type":"journal-article","created":{"date-parts":[[2008,2,11]],"date-time":"2008-02-11T13:32:39Z","timestamp":1202736759000},"page":"97-99","source":"Crossref","is-referenced-by-count":7,"title":["Tolosa\u2013Hunt syndrome misdiagnosed as sinusitis complication"],"prefix":"10.1017","volume":"122","author":[{"given":"V A","family":"Lachanas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G T","family":"Karatzias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Tsitiridis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Panaras","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V G","family":"Sandris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2008,1,16]]},"reference":[{"key":"S0022215106005317_ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-004-1550-6"},{"key":"S0022215106005317_ref3","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/s00330-002-1458-3","article-title":"MRI findings in the patients with the presumptive clinical diagnosis of Tolosa-Hunt syndrome","volume":"13","author":"Cakirer","year":"2003","journal-title":"Eur Radiol"},{"key":"S0022215106005317_ref5","first-page":"1","article-title":"The international classification of headache disorder","volume":"24","year":"2004","journal-title":"Cephalalgia"},{"key":"S0022215106005317_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2003.09.016"},{"key":"S0022215106005317_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.71.5.577"},{"key":"S0022215106005317_ref9","first-page":"942","article-title":"Gadopentetate dimeglumine-enhanced MR in the diagnosis of the Tolosa-Hunt syndrome","volume":"16","author":"Zournas","year":"1995","journal-title":"Am J Neuroradiol"},{"key":"S0022215106005317_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0720-048X(02)00012-8"},{"key":"S0022215106005317_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0303-8467(97)80015-7"},{"key":"S0022215106005317_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.2005.00924.x"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215106005317","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T22:16:34Z","timestamp":1588371394000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215106005317\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2008,1]]}},"alternative-id":["S0022215106005317"],"URL":"https:\/\/doi.org\/10.1017\/s0022215106005317","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,1]]}}}